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Individual

SUVARCHALA SOMAYAJULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1315 JESSE JEWELL PARKWAY SE, SUITE 300, GAINESVILLE, GA 30501
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
068001
GA
2084N0400X
Neurology Physician
141344
NC
2084N0400X
Neurology Physician
53477
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003125349B
GA
Enumeration date
04/23/2007
Last updated
10/15/2020
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